As US Birth Rate Falls, Feds’ Response May Make Pregnancy More Dangerous
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The US birth rate has declined for the second consecutive year, with 3.6 million births in 2025, and the Trump administration is proposing changes to the Title X family planning program to focus on fertility and family formation. The changes have raised concerns that they may make pregnancy more dangerous, particularly for low-income women.
The number of babies born in the US fell to 3.6 million in 2025, a 1% decline from 2024. The fertility rate dropped to 53.1 births per 1,000 women aged 15-44, down 23% since 2007. The Trump administration is overhauling the Title X family planning program, shifting its focus from contraception and reproductive health care to fertility and family formation. The changes have raised concerns among researchers and health officials, who argue that restricting contraception access is unlikely to increase birth rates. The program has served over 5 million patients annually and is a vital source of health care for low-income women. Researchers attribute the decline in birth rates to delayed childbearing and a shift towards smaller families.
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